WANDA MAREA GIBSON-SCIPIO FNP-BC NPI 1689877649

NPI Information

  • NPI: 1689877649
  • Provider Name: WANDA MAREA GIBSON-SCIPIO, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5285 ANTHONY WAYNE DR
    DETROIT, MI
    ZIP 48202
  • Phone: (313) 577-5041

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NPI Details

Wanda Marea Gibson-scipio, FNP-BC is a family nurse practitioner in Detroit, MI with 20 years of experience. Wanda Marea Gibson-scipio, FNP-BC NPI is 1689877649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5285 ANTHONY WAYNE DR
DETROIT, MI
ZIP 48202-947
Phone: (313) 577-5041

The NPI 1689877649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 12/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704123322MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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